Organization Active NPI

City of Roanoke

  • Clinic/Center
  • Roanoke, VA
National Provider Identifier
1265523211
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0024069675 Issued in VA
Legal business name
CITY OF ROANOKE
Practice address
120 Kirk Ave SW
Roanoke, VA 24011-1602
Phone
(540) 853-2045
Fax
(540) 853-2911
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Brenda Gay Via, FNP
Title
Manager
Phone
(540) 853-2045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 0024069675 VA Primary

Addresses

Primary practice location

120 Kirk Ave SW
Roanoke, VA 24011-1602

Mailing address

120 Kirk Ave SW
Roanoke, VA 24011-1602
Phone (540) 853-2045

National Provider Directory

National Provider Directory

Locations

120 Kirk Ave SW
Roanoke, VA 24011
Phone (540) 853-2045

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1265523211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 KIRK AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111602",
            "telephone_number": "540-853-2045",
            "fax_number": "540-853-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 KIRK AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111602",
            "telephone_number": "540-853-2045",
            "fax_number": "540-853-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ROANOKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "VIA",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "GAY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "540-853-2045",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "0024069675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.